Understanding the Blood Supply of the Brain
The brain receives its blood supply from four major arteries - two vertebral arteries and two internal carotid arteries. The vertebral arteries branch into the basilar artery, which gives rise to various important branches. The internal carotid arteries supply the anterior and middle cerebral arteries in addition to other crucial branches. The Circle of Willis, a hexagonal arterial circle at the base of the brain, plays a key role in ensuring consistent blood flow. This comprehensive guide details the arterial pathways and branches supplying the brain, shedding light on the intricate network that sustains its vital functions.
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Blood supply of Brain EssamEaldinAbdelhady Salama
Arterial supply of the brain Four arteries enter into the cranial cavity to supply the brain; Two vertebral arteries. Two internal carotid arteries.
Vertebral arteries. Aries from 1st part of the subclavian artery. Entering the cranial cavity through foramen magnum . Ventral to pons the vertebral arteries unite to form the basilar artery. Branches; oAnterior spinal oPosterior spinal. oMedullar. oPosterior inferior cerebellar.
Basilar artery Ascends in the basilar groove of pons. Ends at upper border of pons by dividing into two posterior cerebral arteries. Branches; oPontine . oLabyrinthine . oAnterior inferior cerebellar. oSuperior cerebellar . oPosterior cerebral.
Internal carotid artery Entering the cranial cavity through the carotid canal On the lateral side of optic chiasma terminating into oAnterior cerebral artery oMiddle cerebral artery. Before termination giving oPosterior communicating . oAnterior choroidal.
Circle of Willis Hexagonal arterial circle lies on the base of the brain It is formed by; Anterior communicating. Proximal portion of anterior cerebral. Internal carotid. Posterior communicating. Proximal portion of posterior cerebral.
Branches of circle of Willis Cortical branches Anterior cerebral artery Middle cerebral artery Posterior cerebral artery Central branches Anteromedial group Posteromedial group Poaterolateral group Anterolateral group Choroidal
Anterior cerebral artery One of two terminal branches of internal carotid. It runs on the medial surface above corpus callosum. Cortical branches supplying; Medial part of orbital surface Media surface except occipital lope. Upper inch of superiolateral surface.
Middle cerebral artery One of two terminal branches of internal carotid. It runs in the stem of the lateral sulcus. Cortical branches supplying; Lateral part of orbital surface Temporal pole Superiolateral surface except upper and lower inches, occipital lobe.
Posterior cerebral artery One of two terminal branches of basilar artery. It runs on the side of mid brain. Cortical branches supplying; Tentorial surface. All aspects of occipital lope. Lower inch of superiolateral surface.
Central group Consist of : -Anteromedial group -Posteromedial group -Poaterolateral group -Anterolateral group -Choroidal a.
Anteromedial branches : supply Hypothalamus. Preoptic area. Supraoptic area.
Posteromedial branches Supply; Pituitary gland. Hypothalamus. Thalamus. Midbrain.
Posterolateral (thalamogeniculate artery) supply Posterior half of thalamus. Geniculate body. Pulvinar. Lateral nuclear group. Most of ventral thalamic nuclei.
Anterolateral branches (striate artery) Medial striate arteries; supply to; Head of caudate nucleus. Putamen. Internal capsule. Lateral striate a. supply to Caudate. Putamen. Globus pallidus. Internal capsule.
Choroid arteries Anterior choroidal artery : supply to choroid plexus in lateral ventricle. hippocampal formation. globus pallidus. posterior limb of internal capsule. amygdaliod nucleus. tail of caudate nucleus. ventrolateral part of thalamus .
Choroid arteries Posterior choroidal artery Supply to Thalamus. Choroid plexus of third and lateral ventricle.
Blood supply to Corpus striatum Striatum : from lateral striate a. Head of caudate : from medial striate a. Tail of caudate and putamen : from anterior choroidal a. Globus pallidus : from lateral striate a, anterior choroidal a. And posterior communicating a.
Blood supply to internal capsule Anterior cerebral Middle cerebral Anterior choroid
Arterial supply of the Midbrain, Pons & Medulla Midbrain : Branches from basilar a. Pons and Medulla : Anterior spinal a., Posterior spinal a., Posterior inferior cerebellar a., basilar a. and Vertebral a.
Cerebral veins and Venous sinus Venules in brain form venous plexus in pia mater. Then drain to superficial vein in subarachnoid space. And drain to dural venous sinus.
Classification of cerebral vein Superficial cerebral veins Superior cerebral veins Inferior cerebral veins Superficial middle cerebral veins Deep cerebral veins Internal cerebral vein Basal vein (Rosenthal) Great cerebral vein (Of Galen)